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Titolo:
Surveillance of antimicrobial resistance - what, how and whither?
Autore:
Bax, R; Bywater, R; Cornaglia, G; Goossens, H; Hunter, P; Isham, V; Jarlier, V; Jones, R; Phillips, I; Sahm, D; Senn, S; Struelens, M; Taylor, D; White, A;
Indirizzi:
Biosyn Inc, Philadelphia, PA 19104 USA Biosyn Inc Philadelphia PA USA 19104 osyn Inc, Philadelphia, PA 19104 USA Reigate, Surrey, England Reigate Surrey EnglandReigate, Surrey, England Univ Verona, Inst Microbiol, I-37100 Verona, Italy Univ Verona Verona Italy I-37100 , Inst Microbiol, I-37100 Verona, Italy Univ Antwerp Hosp, Antwerp, Belgium Univ Antwerp Hosp Antwerp BelgiumUniv Antwerp Hosp, Antwerp, Belgium Univ Coll London, London, England Univ Coll London London EnglandUniv Coll London, London, England Hop La Pitie Salpetriere, Paris, France Hop La Pitie Salpetriere Paris France Pitie Salpetriere, Paris, France Univ Iowa, Coll Med, Iowa City, IA USA Univ Iowa Iowa City IA USAUniv Iowa, Coll Med, Iowa City, IA USA Univ London, London, England Univ London London EnglandUniv London, London, England MRL, Herndon, VA USA MRL Herndon VA USAMRL, Herndon, VA USA Univ Brussels, Hop Erasme, Brussels, Belgium Univ Brussels Brussels Belgium Brussels, Hop Erasme, Brussels, Belgium Glasgow Vet Sch, Glasgow, Lanark, Scotland Glasgow Vet Sch Glasgow LanarkScotland t Sch, Glasgow, Lanark, Scotland SmithKline Beecham, Harlow, Essex, England SmithKline Beecham Harlow Essex England Beecham, Harlow, Essex, England
Titolo Testata:
CLINICAL MICROBIOLOGY AND INFECTION
fascicolo: 6, volume: 7, anno: 2001,
pagine: 316 - 325
SICI:
1198-743X(200106)7:6<316:SOAR-W>2.0.ZU;2-R
Fonte:
ISI
Lingua:
ENG
Soggetto:
ANTIBIOTIC-RESISTANCE; STREPTOCOCCUS-PNEUMONIAE; ELECTRONIC SURVEILLANCE; TASK-FORCE; PROGRAM; SUSCEPTIBILITY; EUROPE; NETWORK; AGENTS; USA;
Keywords:
surveillance; prevalence; antibacterial resistance; study design; funding;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
47
Recensione:
Indirizzi per estratti:
Indirizzo: Bax, R Biosyn Inc, 3401 Market St, Philadelphia, PA 19104 USA Biosyn Inc 3401 Market St Philadelphia PA USA 19104 a, PA 19104 USA
Citazione:
R. Bax et al., "Surveillance of antimicrobial resistance - what, how and whither?", CL MICRO IN, 7(6), 2001, pp. 316-325

Abstract

Objective To express the views of a working party held to consider antibiotic resistance surveillance systems, their strengths and weaknesses, and their current and future applications. Methods The participants, all of whom were experienced in this field, discussed the development of surveillance systems in relation to the increasingprevalence of resistance to antibacterial agents and the current interest in surveillance systems shown by many official bodies, in both the human and veterinary fields. The problems inherent in surveillance systems were considered together with the applications of different systems. Results The properties of good antibiotic resistance surveillance systems were defined. Surveillance systems vary widely from those with a narrow base, focusing on few organisms in one disease area, to those covering many diseases, many organisms (including normal flora) and many compounds. Whatever their design, they should be able to detect significant differences and shifts in susceptibility to various antibacterial agents, and the information derived from them should reach as many interested parties as possible in a timely manner. In using this information to decide strategies, criteria for action need to be determined by pragmatic consensus. Funding remains a major problem, with few large studies being supported by official bodies in spite of their professed enthusiasm for surveillance. In consequence, many current systems are funded by the pharmaceutical industry and are of necessity restricted in their focus. Conclusions Antibiotic resistance surveillance studies should and can be well planned and well executed. Many current systems suffer from well-recognized but uncorrected biases. Consortium funding will be necessary for largeschemes to be successful. There is no 'ideal' surveillance system.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/09/20 alle ore 09:25:06